20/ Thanks for reading!! Here are some websites and resources I used for this tweetorial. https://t.co/JUF9te4pZm for amazing images https://t.co/hHCbllSE1b https://t.co/rdVjzU0Hvl https://t.co/9UMkB3T7Zv https://t.co/BIb7OEBX26 https://t.co/beaGsFk0lO https://t.co/5QZlBVZGl1
Driving pressure and survival in the acute respiratory distress syndrome.
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Feb 2019 – May 2025Where it's discussed
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X / Twitter70 posts
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Facebook22 posts
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YouTube8 videos
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Blogs8 articles
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News5 articles
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Bluesky1 posts
AI synopsis
What people are saying
The social discussions show a consensus on the significance of driving pressure in ARDS management, with examples like recommending keeping driving pressure below 15, citing NEJM studies, and debating optimal PEEP titration methods. The tone is technically detailed and anticipatory, illustrating a strong collective effort to translate research into practice.
Most discussions support the importance of managing driving pressure in ARDS, citing key studies like the 2015 NEJM work by Amato and emphasizing its role in improving survival.
The discussions reveal high engagement and curiosity about the mechanics and clinical implications, with mentions of specific parameters like PEEP, plateau pressure, and tidal volume, demonstrating strong interest.
There are detailed comments on methodology, references to studies, and sharing of resources, indicating deep engagement with the research and its practical applications.
The conversations highlight how the findings influence clinical practices, such as monitoring driving pressure to optimize ventilator settings, reflecting moderate impact on current critical care strategies.
Abstract in brief
- ΔP (driving pressure) is more strongly associated with survival in ARDS patients than tidal volume (VT) or positive end-expiratory pressure (PEEP).
- Changes in ΔP due to ventilator settings were significant, even when patients were on protective ventilation, with each 1-SD increase in ΔP linked to higher mortality.
- Individual adjustments to VT or PEEP did not significantly affect survival unless they contributed to reducing ΔP, indicating that managing driving pressure is crucial for improving outcomes in ARDS.
Top posts
Most liked on X and BlueskyI like driving pressure too, but it's been 8 years. Why don't we have an RCT yet comparing driving pressure-titrated tidal volume to the ARMA strategy? #medtwitter #FOAMcc #FOAMed #some4mv https://t.co/1VeTFjdcnT
Driving pressure rather than TV - @Luigi_ICM https://t.co/sNPtcBwpY7 #LIVES40 https://t.co/ParOM04Y8a
@aneslave_110564 一つの回答としてはこの論文かと思います。 最高気道内圧30以下、駆動圧20以下。 https://t.co/lcJ26HyM1t
What’s about titrating the PEEP according to driving pressure = Pplat - PEEP keep it < 15? As Cstatic = TV/(Pplat-PEEP) we can say DP = TV/Cstatic 2015 N Engl J Med 2015;372:747-55. DOI: 10.1056/NEJMsa1410639 Stated that ⬇️ DP were strongly associated with increased survival
كم كان عمرك يوم عرفت ان ال driving pressure مرتبط ارتباط مباشر بمعدل الوفيات؟ كم كان عمرك يوم عرفت ان ال driving pressure قد يستبدل ال ml/kg بالمستقبل؟ https://t.co/VWfzILaDtD انصح الكل يطلع على هالدراسة قد تفيدكم في ممارستكم الإكلينيكية و قد تكون مستقبل تخصصنا
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كم كان عمرك يوم عرفت ان ال driving pressure مرتبط ارتباط مباشر بمعدل الوفيات؟ كم كان عمرك يوم عرفت ان ال driving pressure قد يستبدل ال ml/kg بالمستقبل؟ https://t.co/VWfzILaDtD انصح الكل يطلع على هالدراسة قد تفيدكم في ممارستكم الإكلينيكية و قد تكون مستقبل تخصصنا
Lets talk about ARDS. Amato, M. B. P., Meade, M. O., Slutsky, A. S., Brochard, L., Costa, E. L. V., Schoenfeld, D. A., ... & Network, O. S. S. (2015). Driving pressure and survival in the acute respiratory distress syndrome. The New England journal of medicine, 372(8), 1 747-755.
RT @GlenAllachiest: @aneslave_110564 一つの回答としてはこの論文かと思います。 最高気道内圧30以下、駆動圧20以下。 https://t.co/lcJ26HyM1t
@aneslave_110564 一つの回答としてはこの論文かと思います。 最高気道内圧30以下、駆動圧20以下。 https://t.co/lcJ26HyM1t
Mesela bakın dünyanın en prestijli dergisi NEJM de yayınlanan bir çalışma. Aaaaa hasta verisi kullanmışlar ne ayıp. At çöpe gitsin, bir halta yaramaz :)) https://t.co/wC175ORJlZ
RT @critconcepts: I like driving pressure too, but it's been 8 years. Why don't we have an RCT yet comparing driving pressure-titrated tida…
RT @critconcepts: I like driving pressure too, but it's been 8 years. Why don't we have an RCT yet comparing driving pressure-titrated tida…
RT @critconcepts: I like driving pressure too, but it's been 8 years. Why don't we have an RCT yet comparing driving pressure-titrated tida…
RT @critconcepts: I like driving pressure too, but it's been 8 years. Why don't we have an RCT yet comparing driving pressure-titrated tida…
RT @critconcepts: I like driving pressure too, but it's been 8 years. Why don't we have an RCT yet comparing driving pressure-titrated tida…
RT @critconcepts: I like driving pressure too, but it's been 8 years. Why don't we have an RCT yet comparing driving pressure-titrated tida…
RT @critconcepts: I like driving pressure too, but it's been 8 years. Why don't we have an RCT yet comparing driving pressure-titrated tida…
RT @critconcepts: I like driving pressure too, but it's been 8 years. Why don't we have an RCT yet comparing driving pressure-titrated tida…
RT @critconcepts: I like driving pressure too, but it's been 8 years. Why don't we have an RCT yet comparing driving pressure-titrated tida…
RT @critconcepts: I like driving pressure too, but it's been 8 years. Why don't we have an RCT yet comparing driving pressure-titrated tida…
RT @critconcepts: I like driving pressure too, but it's been 8 years. Why don't we have an RCT yet comparing driving pressure-titrated tida…
RT @critconcepts: I like driving pressure too, but it's been 8 years. Why don't we have an RCT yet comparing driving pressure-titrated tida…
RT @critconcepts: I like driving pressure too, but it's been 8 years. Why don't we have an RCT yet comparing driving pressure-titrated tida…
RT @critconcepts: I like driving pressure too, but it's been 8 years. Why don't we have an RCT yet comparing driving pressure-titrated tida…
RT @critconcepts: I like driving pressure too, but it's been 8 years. Why don't we have an RCT yet comparing driving pressure-titrated tida…
I like driving pressure too, but it's been 8 years. Why don't we have an RCT yet comparing driving pressure-titrated tidal volume to the ARMA strategy? #medtwitter #FOAMcc #FOAMed #some4mv https://t.co/1VeTFjdcnT
المصادر لهذا الثريد |
@fx_ral4737 https://t.co/qbXqaHpvXJ この論文のFigure 2だと思います。
RT @MegriMohammed: What’s about titrating the PEEP according to driving pressure = Pplat - PEEP keep it < 15? As Cstatic = TV/(Pplat-PEEP)…
RT @MegriMohammed: What’s about titrating the PEEP according to driving pressure = Pplat - PEEP keep it < 15? As Cstatic = TV/(Pplat-PEEP)…
RT @MegriMohammed: What’s about titrating the PEEP according to driving pressure = Pplat - PEEP keep it < 15? As Cstatic = TV/(Pplat-PEEP)…
What’s about titrating the PEEP according to driving pressure = Pplat - PEEP keep it < 15? As Cstatic = TV/(Pplat-PEEP) we can say DP = TV/Cstatic 2015 N Engl J Med 2015;372:747-55. DOI: 10.1056/NEJMsa1410639 Stated that ⬇️ DP were strongly associated with increased survival
The driving pressure is too HIGH (again its not 14 is ok, 15 is not -- gradient is steeper after 15, generally lower the better). refresher : Driving Pressure as estimate of strain. https://t.co/54w4qFsweq
RT @GasBugZa: There are two 'new' indicators of VILI - Driving Pressure (see Amato's work) https://t.co/BCp4hVGIbn - Mechanical Power (see…
There are two 'new' indicators of VILI - Driving Pressure (see Amato's work) https://t.co/BCp4hVGIbn - Mechanical Power (see Gattinoni's work) https://t.co/0Z5S3uAhNr Two crucial papers for any modern intensivist! #CCSSA2022
Aim for driving pressure less than 15! #criticalmedboston Driving Pressure and Survival in the Acute Respiratory Distress Syndrome | NEJM https://t.co/khOHp0IJxa
RT @avkwong: Driving pressure rather than TV - @Luigi_ICM https://t.co/sNPtcBwpY7 #LIVES40 https://t.co/ParOM04Y8a
RT @avkwong: Driving pressure rather than TV - @Luigi_ICM https://t.co/sNPtcBwpY7 #LIVES40 https://t.co/ParOM04Y8a
RT @avkwong: Driving pressure rather than TV - @Luigi_ICM https://t.co/sNPtcBwpY7 #LIVES40 https://t.co/ParOM04Y8a
RT @avkwong: Driving pressure rather than TV - @Luigi_ICM https://t.co/sNPtcBwpY7 #LIVES40 https://t.co/ParOM04Y8a
RT @avkwong: Driving pressure rather than TV - @Luigi_ICM https://t.co/sNPtcBwpY7 #LIVES40 https://t.co/ParOM04Y8a
RT @avkwong: Driving pressure rather than TV - @Luigi_ICM https://t.co/sNPtcBwpY7 #LIVES40 https://t.co/ParOM04Y8a
Driving pressure rather than TV - @Luigi_ICM https://t.co/sNPtcBwpY7 #LIVES40 https://t.co/ParOM04Y8a
@korin_sheep 駆動圧が小さくなればなるほど予後が良くなった(図2) https://t.co/oTfA7SlzWc
@JulesBass6 Thanks Julie. The relation between MV strategy, oxygenation improvement and outcomes is fascinating. It seems that there is no mediating effect whatsoever of PF. Too bad Amato didn't study that in https://t.co/x6SwlENpYT - would be a great secondary analysis
La Driving Pressure (DP) es la variable que mejor estratifica el riesgo en #ARDS, los cambios individuales en Vt y PEEP deben ir encaminados a mantener baja DP, el verdadero parámetro de protección pulmonar: Lo sabemos desde 2015
@NanaGivi https://t.co/X3xxiPn831
@leejanhau @ICheifetz @Martin_Kneyber @some4mv @PALISInet @PROSpect_Study Driving pressure is best stratified risks, at least in the adults. Clinically relevant when deciding optimal peep. Though respiratory mechanics difference in paeds might require further studies. https://t.co/LFCXg5LCvV
"Driving Pressure and Survival in the Acute Respiratory Distress Syndrome" https://t.co/G2dFAOXIuO #ARDS #PEEP ⊿P ↑で生存率up! ⊿Pの目標は....
Marcelo Amato continues to be a physician and researcher. He published another major article at NEJM about driving pressure in ARDS and is a leader in the mechanical ventilation field worldwide. + https://t.co/piscioh5mt
RT @PICJournalWatch: 4/n Key papers: https://t.co/h6uhF5kh4I [Amato NEJM 2015] https://t.co/XiAFBJuuK1 [Khemani ICM 2009] https://t.co/jG…
RT @PICJournalWatch: 4/n Key papers: https://t.co/h6uhF5kh4I [Amato NEJM 2015] https://t.co/XiAFBJuuK1 [Khemani ICM 2009] https://t.co/jG…
4/n Key papers: https://t.co/h6uhF5kh4I [Amato NEJM 2015] https://t.co/XiAFBJuuK1 [Khemani ICM 2009] https://t.co/jG7KRYtdsN [ART trial JAMA 2017] https://t.co/4XgGohPcxV [Mechanical power Gattinoni ICM 2016] https://t.co/kGOMQflyI6 [Brochard, AJRCCM 2017] #WFPICCS20 #PedsICU
https://t.co/H5wy3GiYhn
PEEP to best driving pressure. Adjust the PEEP and calculate the driving pressure (Pplatue – PEEP). The lower driving pressure the better the PEEP. Driving pressure concept is discussed in more than one trial One of them https://t.co/1e4v3ug361
Beware of driving pressure #reminder N Engl J Med 2015;372:747-55. DOI: 10.1056/NEJMsa1410639 https://t.co/vcNMGl6Opn
ARDS: (ARMA, PROSEVA, ACURASYS, CESAR, EOLIA, PETAL, Driving pressure and survival in ARDS “Amato”) https://t.co/16frvqt8Jn https://t.co/FLh9EHObEJ https://t.co/05mL2FVEmn https://t.co/JQFeswX7UY https://t.co/shEH9PkmHX https://t.co/NhpXPZudoQ https://t.co/XhzT5fvLcA
https://t.co/D0Whb4fAA5
RT @david_furfaro: 20/ Thanks for reading!! Here are some websites and resources I used for this tweetorial. https://t.co/JUF9te4pZm for a…
RT @david_furfaro: 20/ Thanks for reading!! Here are some websites and resources I used for this tweetorial. https://t.co/JUF9te4pZm for a…
RT @david_furfaro: 20/ Thanks for reading!! Here are some websites and resources I used for this tweetorial. https://t.co/JUF9te4pZm for a…
RT @david_furfaro: 20/ Thanks for reading!! Here are some websites and resources I used for this tweetorial. https://t.co/JUF9te4pZm for a…
20/ Thanks for reading!! Here are some websites and resources I used for this tweetorial. https://t.co/JUF9te4pZm for amazing images https://t.co/hHCbllSE1b https://t.co/rdVjzU0Hvl https://t.co/9UMkB3T7Zv https://t.co/BIb7OEBX26 https://t.co/beaGsFk0lO https://t.co/5QZlBVZGl1
We need to keep the Driving Pressure of our COVID-19 patients under 15. Specialized care in mechanical ventilation, monitoring the PPlat (<28), and optimize the PEEP to aboid the alveolar overdistension https://t.co/reDiR2ICfv
https://t.co/XfNidQ3AZ0
@ArgaizR So there’s definitely an association as seen in observational data as quoted there as well as in the Amato paper https://t.co/p0tnW0jk1e https://t.co/fhZWYmOkmw
https://t.co/1nXlT1Zqsd
@critconcepts @petulantskeptic @concernecus @reepRN @CritCATNP @TwitticalCare @PulmCrit I generally stretch my insp time a tad with a plateau pause for higher MAP and can still keep my Plat/delta P down with sub-6 tidal volumes. Diff ways of doing similar things. And I do find the mediation analysis compelling! https://t.co/p0tnW0jk1e
@nicozaratem @SEMES_ @ConceptosUC Importante buscar PEEP óptimo, la tabla de la ARDSnet (que sale ahí) no es siempre recomendable. Fundamental es ventilar con driving pressure bajo https://t.co/t3DjNJpH8H
@naz_raf @nfkb Article d'Amato https://t.co/Iv8FxII0dT
@PaulBerglMD @SarinaKS How about the PEEP that minimizes driving pressure? https://t.co/nIJpzvOmot
https://t.co/JamViuXu1X
RT @iamyourgasman: If the lung is non-recuitable with higher driving pressure you are in the red zone #CCC48 #CritCareControversies https:/…
RT @iamyourgasman: If the lung is non-recuitable with higher driving pressure you are in the red zone #CCC48 #CritCareControversies https:/…
If the lung is non-recuitable with higher driving pressure you are in the red zone #CCC48 #CritCareControversies https://t.co/49gMgc9Ruz https://t.co/lzvgdUmteD
Branson: most of the data comes from retrospective analysis, this is quite important! https://t.co/49gMgc9Ruz #CCC48 #CritCareControversies https://t.co/s4bhlrsiGW